L'effetto della Riflessologia Plantare su intensità e durata del dolore del travaglio nelle primipare
M Dolatian1*, A Hasanpour1, Sh Montazeri2, R Heshmat3, H Alavi Majd4
1Department of Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2Department
of Medicine and Health, International Medical University (IMU), Bukit, Jalil, Kualalumpur, Malaysia,
3Acupuncture and Reflexology Specialist, Tehran, Iran 4Department of Biostatistics, Shahid Beheshti
University of Medical Sciences, Tehran, Iran
Background: Reflexology is an ancient, mild and non-invasive technique, used widely as one of the nonpharmacological
methods for pain relief. The aim of this research was to determine the effect of reflexology on
pain intensity as well as to determine the duration of labor in primiparas.
Methods: In 2008, a randomized clinical trial study was conducted randomly enrolling 120 parturient women with
low risk pregnancy into three groups in Shahid Akbarabadi Hospital, Tehran, Iran. The first group received 40
minutes of reflexology at the beginning of active phase (4-5 cm cervical dilatation). Emotional support was offered
for the second group in the same stage of pregnancy and with the same duration. The third group received
only routine care during labor. Pain severity was evaluated with visual analogue scale (0 to 10 cm). In all groups,
pregnant women were asked to evaluate the severity of pain experienced before and after intervention and also
at cervical dilatations of 6-7 cm and 8-10 cm respectively. Data were collected through the numerical pain scale.
Results: Pain intensity at all the three stages of cervical dilatation was significantly lower in the reflexology
group. During the 4-5 cm dilatation stage, women in the supported group reported less severe pain compared to
those receiving routine care, but no significant differences at the later stages of labor. This indicates that reflexology
could decrease the duration of first, second and third stages of labor.
Conclusion: Our findings showed that reflexology can be useful to decrease the pain intensity as well as duration